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Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited   Application for Employment     Position
 

Application for Employment

   

Position applied for

Location

Date (dd/mm/yyyy)

(Recent Passport Size Photograph To Be Affixed During The Time Of Interview)

     
 

General Instruction

 

Type or print this application form ; Specify all dates using DD/MM/YYYY format ; If not hand written, sign at the bottom of each page

Personal Information

First Name

Middle Name

 

Last Name

Date of birth (dd/mm/yyyy)

Gender

 

E-Mail ID

Place of Birth: City & State Mother Tongue Nationality Religion Change of Name if Applicable
Place of Birth: City & State
Mother Tongue
Nationality
Religion
Change of Name if Applicable
(Former Name / Maiden Name )
Date of Name Change
Date of Issue
(dd/mm/yyyy)
Valid till
Passport Number
Place of Issue
ECNR
(dd/mm/yyyy)
Any ID issued by a competent Government or other agency? (Driving licence, passport, PAN card, Phone bill, Bank
passbook others) :
If yes, Please attach photocopy of anyone document.
Current Address
Door No.
House Name
Street
Landmark
City
State
Pin
Residence phone with STD
Mobile Number
Permanent Address :
Same as Above
Door No.
House Name
Street
Landmark
City
State
Pin
Residence phone with STD
Mobile Number
Domiciliary state
Period of stay
Family Information
Marital Status
Date of Marriage (dd/mm/yyyy) :
Spouse’s Name - First
Middle
Last
Occupation
Number of children
No. of dependents (Other
than Spouse & Children)
Father’s Name - First
Middle
Last
Occupation
Mother’s Name - First
Middle
Last
Occupation

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Education (Begin with the highest education qualification &
Education (Begin with the highest education qualification & end with class X; Attach legible photo
Education (Begin with the highest education qualification & end with class X; Attach legible photo copies of Mark sheets /
Degree Certificate / Provisional Degree Certificate)
Year of passing
(Month / Year)
% of
Class /
Course / Degree
Name of Institute /
University
Location
Specialization
Marks
Rank
From
To
Post Graduation
Graduation
Diploma
Pre-University /
12th Std
School / 10th
Std
Others
Please provide additional information for Post Graduation
Post Graduation
I
SEM
II
SEM
III
SEM
IV
SEM
V
SEM
VI
SEM
Aggregate
Percentage
Backlogs
Please provide additional information for Graduation
Graduation
I SEM
II SEM
III SEM
IV SEM
V
SEM
VI SEM
VII SEM
VIII SEM
Aggregate
Percentage
Backlogs
Please provide additional information for Diploma
Diploma
I
SEM
II
SEM
III
SEM
IV
SEM
V
SEM
VI
SEM
Aggregate
Percentage
Backlogs

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Professional Work Experience (Present / Last Employment) Company
Professional Work Experience (Present / Last Employment) Company Name Key job responsibilities Building No. Street
Professional Work Experience (Present / Last Employment)
Company Name
Key job responsibilities
Building No.
Street
Landmark
City
State
Pin
Employee ID
Current Designation & Department
Date of joining
Reason for seeking change
Last drawn salary
Supervisor’s Name & Designation
Supervisor’s Direct Number & Mail
Id
Type of employment
Are you under any bond?
If yes, specify bond period or amount / period
Can the employer be contacted
now?
If No, then provide an alternate date to contact
Reporting structure
Professional Work Experience (Past Employment) 1. Name of the company Key job responsibilities Building No.
Professional Work Experience (Past Employment)
1. Name of the company
Key job responsibilities
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
2. Name of the company
Key job responsibilities
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
Please use additional sheet (annexure I) if space is not sufficient.

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Technical & Domain skills (List skills which relate to
Technical & Domain skills (List skills which relate to the position applied for & rate
Technical & Domain skills (List skills which relate to the position applied for & rate them as per scale defined)
1 – Basic Awareness; 2 – End user; 3 – Require guidance; 4 – Can deliver independently; 5 – Ability to train / guide
others
Skill
Description
Self Evaluation
Training / Development Program / Certification (Specify date in dd/mm/yyyy format) Program Name & Location
Training / Development Program / Certification (Specify date in dd/mm/yyyy format)
Program
Name & Location of Institution
Details
From
To
REFERENCES
Details of persons under whom you have either worked or who know you professionally for at least 6 months
Organization &
Nature of
Name
Duration
E-Mail ID
Phone No. (With STD
Code)
Designation
Association
Residence
Office
Details of friends / relatives employed in BOSCH
Organization &
Nature of
Name
Duration
E-Mail ID
Phone No. (With STD
Code)
Designation
Association
Residence
Office

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Additional Details Professional Achievement  

Additional Details

Professional Achievement

 

Membership of Professional Association

 

Research Papers / Articles published

 

Patents / License Registered

 

Interests

Achievements in Sports, Literary activities etc.

 

Awards received

 

Hobbies & Special Interests

 

Health

Height (Cm)

Weight (Kg)

Blood Group

Physical handicaps, if any, please provide details

Have you suffered from any major illness / Surgery / accident in the last five years?

If yes, please provide details

Chronic illness if any (high blood pressure, diabetes, etc)

 

Information on major surgical operations if any

   

Information on most recent illness, if any

   
Statutory Membership Account Number Are you a member of Employees’ Provident Fund Scheme (EPF)? Are
Statutory Membership
Account Number
Are you a member of Employees’ Provident Fund Scheme (EPF)?
Are you a member of Family Pension Scheme (EPS)?
Are you a member of Employees’ State Insurance Scheme (ESI)?
Contact person in case of emergency (preferably local) :
Name
Door Number
Relationship
House Name
Street
Landmark
City
State
Pin
Residence
phone with STD
Mobile Number

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Language Proficiency Language        

Language Proficiency

Language

       

Can Speak

Can Speak  
 
Can Speak  
Can Speak  
Can Speak  

Can Read

Can Read  
 
Can Read  
Can Read  
Can Read  

Can Write

Can Write  
 
Can Write  
Can Write  
Can Write  

Other Details

Have you been interviewed by Bosch before?

 

If yes, provide details (Division / Location / Month / Year)

Have you ever been arrested, prosecuted or convicted for any criminal offence, other than minor traffic offences

If Yes, provide details

 

Social security no. / any ID no. issued by competent Government office

If Yes, specify the details

 

Do you have any commitment to another employer or organization that might affect your employment with us?

If Yes, provide details

 

Any other information you would like us to know which may have significant bearing on our hiring decision? If Yes, provide details

Certification by Candidate

 

I

certify that the statements made by me above are true, complete and correct. I agree that in case the company finds at

any time, the information provided by me in this application form is not correct, true or complete, the company will have the

right to withdraw, if selected, the letter of appointment before I join the services or to terminate my appointment at any time

without notice or compensation after I have taken up service.

 

I

authorize Robert Bosch Engineering & Business Solutions Ltd’ or its agency to verify my credentials. I will cooperate

and facilitate the process of verification of my credentials / antecedents.

 
 

Name of the applicant

Date

Place

Signature

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited Professional Work Experience (Annexure I) Key job
Professional Work Experience (Annexure I) Key job responsibilities 3. Name of the company Building No.
Professional Work Experience (Annexure I)
Key job responsibilities
3.
Name of the company
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
Key job responsibilities
4.
Name of the company
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
Key job responsibilities
5.
Name of the company
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
Key job responsibilities
6.
Name of the company
Building No.
Street
Landmark
City
State
Pin
Date of joining & Leaving
Last drawn salary
Duration of employment
Reason for seeking change
Name:
Date:
Signature

Robert Bosch Engineering and Business Solutions Limited

Robert Bosch Engineering and Business Solutions Limited   Remuneration Details : Annexure II     Name:
 

Remuneration Details : Annexure II

 
 

Name:

 

Please furnish your present remuneration details.

Date of last salary revision:

Date of next salary revision:

Compensation Element

Amount (Rs.)

Remarks

1.

Cash components per month:

   

Basic Salary

 

Dearness Allowance

 

House Rent Allowance

 

Conveyance Allowance

 

Children’s Education Allowance

 

Special Allowance

 

Other Perquisites

 

Gross Salary per month

 

2.

Retirals:

   

PF

 

Gratuity

 

Superannuation

 

Total Per month

 

3.

Cash components per annum:

   

Incentives

 
 

Bonus

 

LTA

 

Other Perquisites

   
 

Total

   

CTC ((1+2) X 12 +3 )

   

Deductions / Recoveries, if any

 

CTC Per Annum

 

Expected CTC Per Annum

 

I certify that the particulars furnished by me are correct.

 
 

Date :

Signature

Note: Please attach a copy of last drawn salary slip / other endorsement in support of the above particulars.